Acadia Rehab

Acadia's Home and Community Based Services focus on working together with the individual served to enhance their abilities and expand their potential to live, work and function as autonomously and independently as possible. Home and community-based services are person-centered, focusing on the individuals' desires, needs and personal goals. They promote a culture of autonomy, diversity and individual choice, in keeping with the preferences of the individual.

Our services include Day Treatment and Residential programs. For individuals receiving services within our Residential program, we provide a comprehensive Day Treatment Program each weekday that is tailored to meet their unique needs for group activities and individual therapies. For individuals who live in the larger community, we offer individualized outpatient treatment programs daily that include individual therapies and selected therapeutic group activities.

Participants are usually referred to Acadia through a service coordinator, hospital case manager, discharge planner, physician, psychologist, nurse case manager, or other healthcare or human service provider. Referrals also frequently come from family, schools or other state and local community providers. Self-referrals are also taken.

Individuals seeking services at Acadia are carefully assessed to determine whether or not enrollment is appropriate and, if so, what type of services will be most beneficial. Acadia is committed to providing services that are comprehensive in scope and flexible in delivery. These services are designed to meet the specific needs of each participant, and support their right to self-direct their involvement in the rehabilitation process. The emphasis on individualization and continuity of care enables individuals to move through the program at their own pace. The frequency, intensity and duration of programming will vary depending on the needs of the individual and availability of funding. The appropriate continuum of care is identified at the time of referral and continues throughout ACADIA's programming.

Day Treatment Services

Our Day Treatment Program offers a full range of therapeutic services Monday through Friday, 8:30 am – 4:30 pm, in the community as well as in our spacious and well-equipped clinic located in the lovely Greenfield Corporate Center in Lancaster. Therapeutic services capitalize on an individual's strengths to address areas for improvement identified during initial and ongoing evaluations. We provide health and wellness activities, individualized and adaptive counseling to focus on problem-solving in the home and community, the development of social skills, communication skills, self-care skills, stress reduction and relaxation skills, leisure skills, pre-vocational skills and time management skills. We also support the interested individual to find and participate in volunteer work within the community.

Our therapeutic services include:

  • Neuropsychology
  • Cognitive rehabilitation therapy
  • Counseling and behavior management
  • Speech-language therapy
  • Occupational therapy
  • Physical therapy
  • Structured day group therapy activities
  • 1:1 assistance to those individuals who require a more intensive level of support to be able to participate effectively in our structured day activities

schedule an initial screening assessment

Individual cognitive rehabilitation therapy is a part of our Day Treatment Program and focuses on the development and use of compensatory strategies to address cognitive challenges including problems with attention, memory, new learning and problem-solving. Counseling addresses awareness of and adjustment to disability, motivation for rehabilitation, and healthy functioning within interpersonal relationships. It also addresses the need for behavioral change to engage more effectively with others and participate actively within the community. Structured day groups offer opportunities to apply social, cognitive and behavioral skills in a variety of meaningful activities in the clinic and in integrated community settings.

Our cognitive rehabilitation therapists are Bachelor's and Master's level clinicians who have earned the Certified Brain Injury Specialist (CBIS) credential. Our neuro-rehabilitation assistants, who assist our therapists to run group activities in the clinic and community and who provide direct care to all participants, are trained to understand behaviors associated with brain injury, autism and other neurological disorders. They understand and use methods of positive behavior management that lead to better outcomes.

In addition to our therapeutic services, we offer:

  • Internal case management
  • On-site availability of a nurse
  • Regular treatment team consultation with our Medical Director, who is a Behavioral Neurologist/Neuropsychiatrist

Our case management team effectively coordinates services received at Acadia and serves as a liaison to external providers working with the people we serve. They facilitate person-centered, team-based discussions of individuals' progress toward treatment goals and communicate regularly with participants and their family members. Our nurse oversees the administration of medications to our Residential Program participants, assists them to participate in appointments with their physicians, and is available to manage emergent medical issues that arise during the Day Treatment Program.

See our Admission Guidelines

Residential Services

Acadia's Residential Program is provided in beautiful, well-maintained apartments and townhomes just a short distance from our Day Treatment clinic. The residences offer modern, well-equipped and attractive living quarters with private bedrooms for each person. Individuals may decorate their living areas in keeping with their personal preferences and to create a true sense of "home." Between 3 and 8 individuals live in each residence, and enjoy all the benefits of true community integration, enjoying natural social opportunities with neighbors.

The focus of Residential programming is on health and wellness, and the enhancement of daily living skills in the home, including:

  • Daily personal hygiene routines
  • Healthy meal planning and preparation
  • Budgeting and shopping
  • Laundry and other household cleaning tasks
  • Social and recreational activities in home and in community
  • Building and maintaining healthy relationships

Our residential staff are present to provide care 24 hours a day, 7 days a week, including awake overnight staff. They encourage and support participants to exercise their autonomy and independence in making decisions about their daily activities. They understand each participant's unique set of limitations and capabilities and provide assistance in keeping with individual needs. Transportation to the Day Treatment clinic and to all program activities in the community is provided. For individuals who would like to access the community more independently, assistance is provided to learn to use public transportation.

Individuals in our Residential Program have an individually customized schedule of therapies and structured group activities in the Day Treatment Program Monday through Friday. Our nurse manages the emergent medical needs of participants in our Residential Program, coordinating their medical care with physicians and other healthcare providers in the community. They also receive regular treatment team consultation with a Neuropsychologist.

What Are Acadia's Admission Criteria?

  • 18 years of age or older, depending on funding source
  • Diagnosis of a post-acute brain injury or neuropsychological/neurodevelopmental disorder that affects physical, cognitive, behavioral, social and/or vocational functioning
  • Medical stability, without requirement of on-going skilled nursing care
  • Psychiatric stability
  • Absence of significantly maladaptive or disruptive behavior that would interfere with program participation or that could be disruptive to the care of others receiving services
  • Willingness to abstain from the use of alcohol, recreational drugs and illegal substances while receiving services
  • Willingness to participate and ability to benefit from community-integrated programming
  • Absence of current risk of elopement

Home and Community Services

Acadia is an accredited provider of home and community-based services for adults. Home and community-based services are person-centered, focusing on the individuals' desires, needs and personal goals. They promote a culture of autonomy, diversity and individual choice, in keeping with the preferences of the individual. Acadia embraces the unique variety of cultures among our staff and the people we serve. The principles of diversity and inclusion are important values that positively influence the way we provide care so that all feel welcomed, included and respected. Unique communication and behavioral needs are addressed through a transdisciplinary, team-based model of intervention. Acadia's clinical team is knowledgeable of available resources that may benefit the individual, including technology.

As a provider of home and community services, we work to enhance the individual's quality of life by helping them to participate effectively and meaningfully in a variety of everyday pursuits within the community. We help the individual learn to function adaptively and perform successfully in whatever environments those activities occur. We can help participants who need assistance in connecting with family, friends or others within their homes and communities.

Structured day group activities focus on the application of social skills and problem-solving skills in everyday environments. They are delivered in a variety of community venues, including shopping malls, grocery stores, movie theaters, sports arenas, parks and recreation centers, and so on. One-to-one assistance for behavioral support or physical needs may be arranged to enhance effective participation in structured day groups and residential programming activities.

When an individual enters Acadia's Residential Program, the residence becomes their home, and services are delivered there and in our Day Treatment Program.

Collaboration with Families and Family Services

The rehabilitation journey can be complicated, and collaboration with the families (and significant others) of the individuals we serve promotes the best outcomes. Acadia's leadership and staff understand the importance of listening to and learning from those who are close to the individuals we serve. If a participant so chooses, their family and significant others are included in the treatment team from the start, providing input for goal development and assistance is assessing progress. They bring valuable experience and insight about the participant's habits and routines, preferences, interpersonal abilities and communication styles to treatment planning and intervention. Treatment is most effective, and gains are most durable, when families and significant others work with our clinical and residential staff to promote the participant's growth, skill development and functional independence. A collaborative approach to treatment might include the development of behavior support plans to support positive interactions at home and in the community. In keeping with the participant's desire to share information, families and significant others receive progress reports at team meetings and have ready access to the participant's case manager whenever there are concerns or ideas to share. They are welcome visitors at our residential facilities; visits during day treatment hours can also be arranged.

Acadia understands that families and significant others are presented with unique challenges in adapting to the changes that brain injury or other neurological conditions can bring to family life. Throughout the duration of care, Acadia works to help by providing information and education to families to help them anticipate, identify, accept and manage these challenges. Designated clinical staff can be scheduled to meet with individual family members and significant others to address adjustment issues as they arise.

For those whose loved one is living with a brain injury, we extend an invitation to participate virtually in our Brain Injury Support Group, offered on the first Thursday evening of each month. In addition to providing emotional support, Acadia works to connect families and significant others to resources within the community to address the medical, financial, and social implications of brain injury and other neurological conditions.

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